A randomized controlled trial of self-directed versus therapist-directed cognitive-behavioral therapy for obsessive-compulsive disorder patients with prior medication trials.
Cognitive-behavioral therapy incorporating exposure and response prevention (ERP) is widely considered a first-line psychosocial treatment for patients with obsessive-compulsive disorder (OCD). However, a number of obstacles prevent many patients from receiving this treatment, and self-administered...
| Main Authors: | , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
2007
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| _version_ | 1826296480515751936 |
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| author | Tolin, D Hannan, S Maltby, N Diefenbach, G Worhunsky, P Brady, R |
| author_facet | Tolin, D Hannan, S Maltby, N Diefenbach, G Worhunsky, P Brady, R |
| author_sort | Tolin, D |
| collection | OXFORD |
| description | Cognitive-behavioral therapy incorporating exposure and response prevention (ERP) is widely considered a first-line psychosocial treatment for patients with obsessive-compulsive disorder (OCD). However, a number of obstacles prevent many patients from receiving this treatment, and self-administered ERP may be a useful alternative or adjunct. Forty-one adult outpatients with a primary diagnosis of OCD, who reported at least 1 current or previous adequate medication trial, were randomly assigned to self-administered or therapist-administered ERP. Patients in both treatment conditions showed statistically and clinically significant symptom reduction. However, patients receiving therapist-administered ERP showed a superior response in terms of OCD symptoms and self-reported functional impairment. We discuss several potential reasons for the superiority of therapist-administered treatment, and propose a stepped-care integration of self-administered and therapist-administered interventions for OCD. |
| first_indexed | 2024-03-07T04:16:59Z |
| format | Journal article |
| id | oxford-uuid:c9bb2c88-a80c-4bda-a6bb-eac27236137b |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T04:16:59Z |
| publishDate | 2007 |
| record_format | dspace |
| spelling | oxford-uuid:c9bb2c88-a80c-4bda-a6bb-eac27236137b2022-03-27T07:01:35ZA randomized controlled trial of self-directed versus therapist-directed cognitive-behavioral therapy for obsessive-compulsive disorder patients with prior medication trials.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c9bb2c88-a80c-4bda-a6bb-eac27236137bEnglishSymplectic Elements at Oxford2007Tolin, DHannan, SMaltby, NDiefenbach, GWorhunsky, PBrady, RCognitive-behavioral therapy incorporating exposure and response prevention (ERP) is widely considered a first-line psychosocial treatment for patients with obsessive-compulsive disorder (OCD). However, a number of obstacles prevent many patients from receiving this treatment, and self-administered ERP may be a useful alternative or adjunct. Forty-one adult outpatients with a primary diagnosis of OCD, who reported at least 1 current or previous adequate medication trial, were randomly assigned to self-administered or therapist-administered ERP. Patients in both treatment conditions showed statistically and clinically significant symptom reduction. However, patients receiving therapist-administered ERP showed a superior response in terms of OCD symptoms and self-reported functional impairment. We discuss several potential reasons for the superiority of therapist-administered treatment, and propose a stepped-care integration of self-administered and therapist-administered interventions for OCD. |
| spellingShingle | Tolin, D Hannan, S Maltby, N Diefenbach, G Worhunsky, P Brady, R A randomized controlled trial of self-directed versus therapist-directed cognitive-behavioral therapy for obsessive-compulsive disorder patients with prior medication trials. |
| title | A randomized controlled trial of self-directed versus therapist-directed cognitive-behavioral therapy for obsessive-compulsive disorder patients with prior medication trials. |
| title_full | A randomized controlled trial of self-directed versus therapist-directed cognitive-behavioral therapy for obsessive-compulsive disorder patients with prior medication trials. |
| title_fullStr | A randomized controlled trial of self-directed versus therapist-directed cognitive-behavioral therapy for obsessive-compulsive disorder patients with prior medication trials. |
| title_full_unstemmed | A randomized controlled trial of self-directed versus therapist-directed cognitive-behavioral therapy for obsessive-compulsive disorder patients with prior medication trials. |
| title_short | A randomized controlled trial of self-directed versus therapist-directed cognitive-behavioral therapy for obsessive-compulsive disorder patients with prior medication trials. |
| title_sort | randomized controlled trial of self directed versus therapist directed cognitive behavioral therapy for obsessive compulsive disorder patients with prior medication trials |
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